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IntroductionDepression is among the most widespread psychiatric disorders in France. Psychiatric disorders are associated with considerable social costs, amounting to €22.6 billion for treatment and psychotropic medication in 2011. Treatment as usual (TAU), mainly consisting of pharmacotherapy and psychotherapy, is effective for only a third of patients and in most cases fails to prevent treatment resistance and chronicity. Transcranial direct current stimulation (tDCS) consists in a non-invasive and painless application of low-intensity electric current to the cerebral cortex through the scalp. Having proved effective in depressed patients, it could be used in combination with TAU to great advantage. The objective is to compare, for the first time ever, the cost-utility of tDCS-TAU and of TAU alone for the treatment of a depressive episode that has been refractory to one or two drug treatments.Methods and analysisThis paper, based on the DISCO study protocol, focuses on the design of a prospective, randomised, controlled, open-label multicentre economic study to be conducted in France. It will include 214 patients with unipolar or bipolar depression, assigning them to two parallel arms: group A (tDCS-TAU) and group B (TAU alone). The primary outcome is the incremental cost-effectiveness ratio, that is, the ratio of the difference in cost between each strategy to the difference in their effects. Their effects will be expressed as numbers of quality-adjusted life-years, determined through administration of the EuroQol Five-Dimension questionnaire over a 12-month period to patients (EQ-5D-5L). Expected benefits are the reduction of treatment resistance and suicidal ideation as well as social and professional costs of depression. Should depression-related costs fall significantly, tDCS might be considered an efficient treatment for depression.Ethics and disseminationThis protocol has been approved by a French ethics committee, the CPP-–Est IV (Comité de Protection des Personnes–Strasbourg). Data are to be published in peer-reviewed medical journals.Trial registration numberRCB 2018-A00474-51;NCT03758105

Purpose The purpose of this study was to investigate bone microarchitecture of cadaveric proximal femurs using ultra-high field (UHF) 7-Tesla magnetic resonance imaging (MRI) and to compare the corresponding metrics with failure load assessed during mechanical compression test and areal bone mineral density (ABMD) measured using dual-energy X-ray absorptiometry. Materials and methods ABMD of ten proximal femurs from five cadavers (5 women; mean age = 86.2 ± 3.8 (SD) years; range: 82.5–90 years) were investigated using dual-energy X-ray absorptiometry and the bone volume fraction, trabecular thickness, trabecular spacing, fractal dimension, Euler characteristics, connectivity density and degree of anisotropy of each femur was quantified using UHF MRI. The whole set of specimens underwent mechanical compression tests to failure. The inter-rater reliability of microarchitecture characterization was assessed with the intraclass correlation coefficient (ICC). Associations were searched using correlation tests and multiple regression analysis. Results The inter-rater reliability for bone microarchitecture parameters measurement was good with ICC ranging from 0.80 and 0.91. ABMD and the whole set of microarchitecture metrics but connectivity density significantly correlated with failure load. Microarchitecture metrics correlated to each other but did not correlate with ABMD. Multiple regression analysis disclosed that the combination of microarchitecture metrics and ABMD improved the association with failure load. Conclusion Femur bone microarchitecture metrics quantified using UHF MRI significantly correlated with biomechanical parameters. The multimodal assessment of ABMD and trabecular bone microarchitecture using UHF MRI provides more information about fracture risk of femoral bone and might be of interest for future investigations of patients with undetected osteoporosis.

Although it is known that the muscle activation patterns used to produce even simple movements can vary between individuals, these differences have not been considered to prove the existence of individual muscle activation strategies (or signatures). We used a machine learning approach (support vector machine) to test the hypothesis that each individual has unique muscle activation signatures. Eighty participants performed a series of pedaling and gait tasks, and 53 of these participants performed a second experimental session on a subsequent day. Myoelectrical activity was measured from eight muscles: vastus lateralis and medialis, rectus femoris, gastrocnemius lateralis and medialis, soleus, tibialis anterior, and biceps femoris -long head. The classification task involved separating data into training and testing sets. For the within-day classification, each pedaling/gait cycle was tested using the classifier, which had been trained on the remaining cycles. For the between-day classification, each cycle from day 2 was tested using the classifier, which had been trained on the cycles from day 1. When considering all eight muscles, the activation profiles were assigned to the corresponding individuals with a classification rate of up to 99.28% (2,353/2,370 cycles) and 91.22% (1,341/1,470 cycles) for the within-day and between-day classification, respectively. When considering the within-day classification, a combination of two muscles was sufficient to obtain a classification rate >80% for both pedaling and gait. When considering between-day classification, a combination of four to five muscles was sufficient to obtain a classification rate >80% for pedaling and gait. These results demonstrate that strategies not only vary between individuals, as is often assumed, but are unique to each individual. NEW & NOTEWORTHY We used a machine learning approach to test the uniqueness and robustness of muscle activation patterns. We considered that, if an algorithm can accurately identify participants, one can conclude that these participants exhibit discernible differences and thus have unique muscle activation signatures. Our results show that activation patterns not only vary between individuals, but are unique to each individual. Individual differences should, therefore, be considered relevant information for addressing fundamental questions about the control of movement.

Standard outcomes of traditional isokinetic testing do not detect differences between various muscle mechanical properties. This study i) explored a novel analysis throughout the range of motion based on statistical parametric mapping and ii) examined the impact of sex and discipline on hamstrings/quadriceps torque in elite alpine skiers. Twenty-eight national team skiers (14 females, 14 males; 14 technical, 14 speed) undertook an isokinetic evaluation of the knee flexors/extensors (range 30–90°, 0° representing full extension). There was no effect of sex (p=0.864, d=0.03) and discipline (p=0.360, d=0.17) on maximal hamstrings-to-quadriceps ratio and no effect of discipline on maximal torque (p>0.156, d≤0.25). Hamstrings torque and hamstrings-to-quadriceps ratio were lower in females than males toward knee extension only (p

Background The individual effects of fatigue and age on postural control have been extensively studied. However, there is a lack of knowledge about the combined effects of fatigue and age on postural control and posture. Research question The purpose of this study was to investigate the influence of age and muscle fatigue on bipedal stance postural control and posture. Methods Twenty-three participants, fourteen young adults and nine older adults performed 30-s bipedal postural trials before and after fatigue. The fatigue protocol consisted in repeating heel raises until exhaustion. Back, hip, knee and ankle joint angles and centre of pressure (COP) displacements were recorded with a 3D motion capture system and a force plate. Results Fatigue induced similar increases in sway area and COP velocity for both populations. This was associated with a forward displacement of the COP position for both populations but with different postural adaptations. Similar increased flexions (+1.7 to 1.8°) for all joint angles (ankle, knee, hip and back) joints were observed after fatigue for older adults, whereas young adults mainly showed increased flexion for the ankle joint (+3.1°) and decreased flexion at the hip (−1.2°). Significance It can be argued that older adults act on all joints because they are too weak to sufficiently modify any joint individually, contrary to young adults. These posture adaptations may be strategies to cope with fatigue by limiting the reliance on fatigued plantarflexors, increasing ankle stiffness, increasing the sensitivity of muscle spindles, increasing the number of degrees of freedom of the task.

Purpose:The aim of the current study was to determine whether the anaerobic performance assessed by a modified Wingate test could account for the 1,500-m rowing ergometer performance in young competitive rowers.Methods:Fourteen national-level adolescent rowers performed on a rowing ergometer i) a 30-s allout exercise (i.e., modified Wingate test) and ii) a 1,500-m all-out exercise (i.e., rowing performance). For each of these two exercises, the mean power output was considered as the main performance criterion (PWIN and P1500, respectively).Results:PWIN was correlated to P1500 (r2 = .83, p < .0001, β = 100%). Furthermore, the estimated total muscle mass was correlated to PWIN and P1500 (r2 = .72 and r2 = .83, p < .0001, β = 100%, respectively). The allometric scaling also indicated that total muscle mass accounts 62% for the relationship between PWIN and P1500.Conclusion:Our results highlight the importance of considering the contribution of total muscle mass and anaerobic energy pathways to 1,500-m rowing performance in competitive adolescent rowers. Therefore, the modified Wingate test could be used by rowing coaches to potentially identify talented young rowers.

International audience; Purpose As a subjective symptom, cancer-related fatigue is assessed via patient-reported outcomes. Due to the inherent bias of such evaluation, screening and treatment for cancer-related fatigue remains suboptimal. The purpose is to evaluate whether objective cancer patients' hand muscle mechanical parameters (maximal force, critical force, force variability) extracted from a fatiguing handgrip exercise may be correlated to the different dimensions (physical, emotional, and cognitive) of cancer-related fatigue. Methods Fourteen women with advanced breast cancer, still under or having previously received chemotherapy within the preceding 3 months, and 11 healthy women participated to the present study. Cancer-related fatigue was first assessed through the EORTC QLQ-30 and its fatigue module. Fatigability was then measured during 60 maximal repeated handgrip contractions. The maximum force, critical force (asymptote of the force-time evolution), and force variability (root mean square of the successive differences) were extracted. Multiple regression models were performed to investigate the influence of the force parameters on cancer-related fatigue's dimensions. Results The multiple linear regression analysis evidenced that physical fatigue was best explained by maximum force and critical force (r = 0.81; p = 0.029). The emotional fatigue was best explained by maximum force, critical force, and force variability (r = 0.83; p = 0.008). The cognitive fatigue was best explained by critical force and force variability (r = 0.62; p = 0.035). Conclusion The handgrip maximal force, critical force, and force variability may offer objective measures of the different dimensions of cancer-related fatigue and could provide a complementary approach to the patient reported outcomes.

Objective The aim of the study was to investigate the influence of age and/or obesity on postural control, ankle muscle activities during balance testing and force production capacities. Materials and methods 4 groups; control group (CG; n = 25; age = 31.8 ± 7.5 years; BMI = 21.4 ± 2.5 kg/m2), obese group (OG; n = 25; age = 34.4 ± 9.5 years; BMI = 39.6 ± 5.4 kg/m2), elderly group (EG; n = 15; age = 77.1 ± 8.4 years; BMI = 24.4 ± 1.3 kg/m2) and obese elderly group (ObEG; n = 12; age = 78.6 ± 6.6 years; BMI = 34.5 ± 3.1 kg/m2) performed maximal voluntary contraction (MVC) before testing to calculate the maximal relative force of ankle plantar flexor (PF) and dorsal flexor (DF) muscles. Center of pressure (CoP) parameters and the electromyography (EMG) activity of PF and DF muscles were collected during MVC, quiet standing and limit of stability (LoS) testing along antero-posterior and medio-lateral axes. Results Maximal relative force was higher in EG and ObEG than CG and OG, respectively (p 0.6; p −0.6; p Conclusion Obesity-related postural control alteration is associated with increased activity of PF. This neuromuscular adaptation may reflect deteriorations of the proprioceptive system and is likely additional to age-related muscular impairments. This may be a mechanism by which obesity increases postural control alterations in elderly.

Summary Aims The aim of the study was to assess mechanical muscle capacities and profiles of well-trained soccer goalkeepers playing at a national amateur level. Methods Eleven goalkeepers (from 4th French division) performed vertical jump tests and series of loaded half squat and bench throw tests to assess lower and upper limbs force-velocity profiles, respectively. Force, velocity and power produced during each exercise were determined using a guided barbell. Maximal theoretical velocity and maximal theoretical force were determined from the force-velocity profiles. Slopes of those profiles were also calculated. Results Vertical jump performances were 38.5 ± 4.5 cm for the squat jump and 41.6 ± 5.5 cm for the countermovement jump. Lower limbs stiffness was 304.2 ± 55.1 N.m−1.kg−1. Lower limbs force-velocity profile was described by a slope of −11.5 ± 4.0 N.s.m−1.kg−1, with maximal theoretical force and velocity reaching 34.3 ± 5.9 N.kg−1 and 3.2 ± 0.2 m.s−1, respectively. Upper limbs muscular profile was described by a slope of −3.7 ± 1.1 N.s.m−1.kg−1, with maximal theoretical force and velocity of 13.6 ± 3.7 N.kg−1 and 3.7 ± 0.6 m.s−1, respectively. These values reveal that goalkeepers’ muscles profiles are oriented towards velocity. Conclusion This suggests that whatever the goalkeepers’ level, specific and conditioning trainings should mainly focus on velocity to optimize the performance of this specific soccer player.

This study aimed to assess the influence of an adapted physical activity program on self-esteem and quality of life in breast cancer patients. Twenty-three women diagnosed with breast cancer and treated by mastectomy formed 2 groups. The experimental group practiced adapted physical activity for 12 weeks, while the control group did not. All participants answered questionnaires regarding their self-esteem and quality of life at the beginning of the program and 6 and 12 weeks after that. Self-esteem, physical self-perception, quality of life, global health status, pain, and breast symptoms were improved only in the group which practiced adapted physical activity.

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Upper limb abilities can be assessed from different kinds of exercises (e.g., cranking, push-up, and medicine ball put test). Since the bench press is a very common exercise used in training routines by most athletes in many sports, its interest in the scientific literature raised in the past two decades. As presented in previous chapters during jumping or cycling, from several bench presses performed against different loads, coaches and athletes can simply and accurately define their upper limb force-velocity (F-v) profile. They can estimate their theoretical maximal force (F 0), velocity (V 0) and power (P max ). The aim of this chapter is to present the important points that must be taken into account to optimize the use of the bench press as a routine testing. In a first part, this chapter will focus on the importance of taking into consideration all the mechanical inertia involved in the bench press exercise. Not considering the upper limb mass in the calculation of the force produced during the exercise implies an underestimation in the F-v profile that can reach 30% for P max . This could conduct to incorrect choices in the optimal load during training and thus limit the performance improvement. In the second part of this chapter, we present a simple mechanical model of the bench press to study the importance of the upper limb acceleration in the estimation of the force produced. The moving system (i.e., lifted mass and upper limbs) is modeled from rigid segments and the force can be determined thanks to four simple measurements: the vertical displacement of the lifted load, the elbow angle measured using a goniometer, the arm and forearm lengths and the constant horizontal position of the hand on the barbell. The validity of this model has been confirmed through experimental data obtained from a force platform. An important point is that the kinematics and kinetics of this model allow demonstrating that the acceleration of the moving system is similar to the one of the barbell. Finally, based on the previous statement, the last part of this chapter presents a simple method for assessing force, velocity and power during a ballistic bench press performed on a traditional guided barbell, based on the Newtonian laws and only three simple parameters: (i) upper limb mass estimated as 10% of the body mass; (ii) barbell flight height recorded with a nylon cable tie and (iii) push-off distance measured with a measuring tape. Consequently, coaches and athletes could accurately determine their F-v profile and extrapolate reliable mechanical parameters (F 0 , v 0, Sfv and P max ) in order to maximize upper limbs performance and manage training programs in field conditions.

Maciejewski, H, Rahmani, A, Chorin, F, Lardy, J, Samozino, P, and Ratel, S. Methodological considerations on the relationship between the 1,500-m rowing ergometer performance and vertical jump in national-level adolescent rowers. J Strength Cond Res 33(11): 3000-3007, 2019-The purpose of this study was to investigate whether 3 different approaches for evaluating squat jump performance were correlated with rowing ergometer performance in elite adolescent rowers. Fourteen young male competitive rowers (15.3 ± 0.6 years), who took part in the French rowing national championships, performed a 1,500-m all-out rowing ergometer performance (P1500) and a squat jump (SJ) test. The performance in SJ was determined by calculating the jump height (HSJ in cm), a jump index (ISJ = HSJ·body mass·gravity, in J), and the mean power output (PSJ in W) from the Samozino et al.'s method. Furthermore, allometric modeling procedures were used to consider the importance of body mass (BM) in the relationships between P1500 and jump scores. P1500 was significantly correlated with HSJ (r = 0.29, p ≤ 0.05), ISJ (r = 0.72, p < 0.0001), and PSJ (r = 0.86, p < 0.0001). Furthermore, BM explained at least 96% of the relationships between SJ and rowing performances. However, the similarity between both allometric exponents for PSJ and P1500 (1.15 and 1.04, respectively) indicates that BM could influence jump and rowing ergometer performances at the same rate, and that PSJ could be the best correlate of P1500. Therefore, the calculation of power seems to be more relevant than HSJ and ISJ to (a) evaluate jump performance and (b) infer the capacity of adolescent rowers to perform 1,500-m all-out rowing ergometer performance, irrespective of their body mass. This could help coaches to improve their training program and potentially identify talented young rowers.

Granier, C, Hausswirth, C, Dorel, S, and Le Meur, Y. Validity and reliability of the stages cycling power meter. J Strength Cond Res 34(12): 3554-3559, 2020-This study aimed to determine the validity and the reliability of the Stages power meter crank system (Boulder, United States) during several laboratory cycling tasks. Eleven trained subjects completed laboratory cycling trials on an indoor cycle fitted with SRM Professional and Stages systems. The trials consisted of an incremental test at 100 W, 200 W, 300 W, 400 W, and four 7-s sprints. The level of pedaling asymmetry was determined for each cycling intensity during a similar protocol completed on a Lode Excalibur Sport ergometer. The reliability of Stages and SRM power meters was compared by repeating the incremental test during a test-retest protocol on a Cyclus 2 ergometer. Over power ranges of 100-1,250 W, the Stages system produced trivial to small differences compared with the SRM (standardized typical error values of 0.06, 0.24, and 0.08 for the incremental, sprint, and combined trials, respectively). A large correlation was reported between the difference in power output (PO) between the 2 systems and the level of pedaling asymmetry (r = 0.58, p < 0.001). Recalculating PO of the Stages system according to the level of pedaling asymmetry provided only marginal improvements in PO measures. The reliability of the Stages power meter at the submaximal intensities was similar to the SRM Professional model (coefficient of variation: 2.1 and 1.3% for Stages and SRM, respectively). The Stages system is a suitable device for PO measurements, except when a typical error of measurement

Rowing races require developing high level of force and power output at high contraction velocity. This study determined the force-velocity and power-velocity (F-P-V) profiles of lower and upper limbs of adolescent rowers and their relationships with a 1,500-m rowing ergometer performance. The power developed during the 1,500-m (P1500) was evaluated in fourteen national-level male rowers (age: 15.3±0.6 yrs). F-P-V profiles were assessed during bench pull (BP) and squat jump (SJ) exercises. The theoretical maximal values of force (F0), velocity (V0), power output (Pmax) and the F-V relationship slope (S FV ) were determined. The body mass (BM) influence on these relationships was considered using an allometric approach. F0 was 720±144 and 2146±405 N, V0 was 1.8±0.1 and 1.8±0.3 m·s−1, Pmax was 333±83 and 968±204 W and SFV was −391±54 and −1,200±260 N·s·m−1 for BP and SJ, respectively. Upper and lower limb F0 and Pmax were significantly related. P1500 was significantly (P

This study aimed to evaluate the within- and between-session reliability of force, velocity and power performances and to assess the force-velocity relationship during the deadlift high pull (DHP). Nine participants performed two identical sessions of DHP with loads ranging from 30 to 70% of body mass. The force was measured by a force plate under the participants' feet. The velocity of the 'body + lifted mass' system was calculated by integrating the acceleration and the power was calculated as the product of force and velocity. The force-velocity relationships were obtained from linear regression of both mean and peak values of force and velocity. The within- and between-session reliability was evaluated by using coefficients of variation (CV) and intraclass correlation coefficients (ICC). Results showed that DHP force-velocity relationships were significantly linear (

Muscle fascicles–tendon interactions are the main determinant in production of high joint velocity. Currently, no study has investigated the muscle fascicles behaviour of knee extensor muscles until the highest reachable velocity (e.g., unloaded knee extension). We aimed to track the changes in vastus lateralis fascicles length during knee extensions to quantify muscle fascicles and tendinous tissues contributions to muscle–tendon unit shortening and to determine maximal muscle fascicles shortening velocity. Fifteen participants performed isokinetic and isoinertial knee extensions, and ultrafast ultrasound imaging was used to observe the vastus lateralis fascicles from low to very high joint velocity. The muscle fascicles shortening velocity increased linearly with the increase in knee joint velocity up to the maximal joint velocity (mean R 2 = 0.93 ± 0.08). Muscle fascicles contribution to muscle–tendon unit shortening velocity was almost constant regardless of the condition (83 ± 23%). Using Hill’s equation, the maximal velocity of knee joint and muscle fascicles was determined at 1000 ± 489°s−1 and 5.1 ± 2.0 L0 s−1 (47.4 ± 18.7 cm s−1), respectively. Contribution of muscle fascicles to the muscle–tendon unit shortening velocity was much higher for the vastus lateralis in this study compared to the gastrocnemius medialis in two previous studies. Moreover, this contribution of muscle fascicles shortening velocity was constant whatever the velocity condition, even at the highest reachable velocity. Thus, the vastus lateralis fascicles shortening velocity increases linearly with the knee joint velocity until high velocities and its behaviour strongly accorded with the classical Hill’s force–velocity relationship.

Eccentric training is a mechanical loading classically used in clinical environment to rehabilitate patients with tendinopathies. In this context, eccentric training is supposed to alter tendon mechanical properties but interaction with the other components of the muscle-tendon complex remains unclear. The aim of this study was to determine the specific effects of 14 wk of eccentric training on muscle and tendon mechanical properties assessed in active and passive conditions in vivo. Twenty-four subjects were randomly divided into a trained group ( n = 11) and a control group ( n = 13). Stiffness of the active and passive parts of the series elastic component of plantar flexors were determined using a fast stretch during submaximal isometric contraction, Achilles tendon stiffness and dissipative properties were assessed during isometric plantar flexion, and passive stiffness of gastrocnemii muscles and Achilles tendon were determined using ultrasonography while ankle joint was passively moved. A significant decrease in the active part of the series elastic component stiffness was found ( P < 0.05). In contrast, a significant increase in Achilles tendon stiffness determined under passive conditions was observed ( P < 0.05). No significant change in triceps surae muscles and Achilles tendon geometrical parameters was shown ( P > 0.05). Specific changes in muscle and tendon involved in plantar flexion are mainly due to changes in intrinsic mechanical properties of muscle and tendon tissues. Specific assessment of both Achilles tendon and plantar flexor muscles allowed a better understanding of the functional behavior of the muscle-tendon complex and its adaptation to eccentric training.

The aim of the present study was to compare the effects of ankle muscle fatigue on postural control when plantarflexors (PFs) and dorsiflexors (DFs) are fatigued simultaneously compared with separately. This study also investigated the recovery of postural control after fatigue. Sixteen adults (eight women and eight men) performed postural trials before and after an isokinetic fatigue task involving either (i) only PFs (308 s 1 ), (ii) only DFs (1208 s 1 ), or (iii) both PFs and DFs simultaneously. The fatigue task involved maximal contractions repeated until the torque produced decreased below 50% of the maximal torque. Postural trials lasted 30 s and were performed on one leg with eyes open (EO) or eyes closed (EC). Sway area, medio-lateral (ML) and antero-posterior (AP) positions and velocities were calculated from the center of pressure displacements. With EO, no effect of fatigue was found on postural variables. With EC, sway area and AP velocity increased only when both PFs and DFs were fatigued simultaneously. An effect of fatigue present only when both muscle groups are fatigued simultaneously could be due to impairment in the compensatory activity between agonist and antagonist muscles and/or a greater decrease in proprioception due to a greater number of fatigued muscles. In addition, when PFs and DFs were fatigued simultaneously, sway area and AP velocity returned to pre-fatigue values within 2 min, whereas a posterior shift in AP position persisted for 10 min. This last result may suggest a longer-lasting change in postural strategy needed for optimal postural control.

The aims of this study were to determine the effects of plyometric training on both active and passive parts of the series elastic component (SEC) stiffness, and on geometrical parameters [i.e., muscle architecture, muscle and tendon cross-sectional area (CSA)] of the plantarflexors muscle-tendon complex to assess possible specific adaptations of the elastic properties. Nineteen subjects were randomly divided into a trained group and a control group. Active and passive components of the SEC stiffness were determined using a fast stretch during submaximal voluntary isometric plantarflexor activity. Geometrical parameters of the triceps surae muscles and the Achilles tendon were determined using ultrasonography. A significant increase in the passive component of the SEC stiffness was found (p0.05). In contrast, a significant decrease in the active part of the SEC stiffness was observed (p0.05). No significant changes in plantarflexor muscles CSA, architecture and Achilles tendon CSA were seen (p0.05). Thus, plyometric training led to specific adaptations within each part of the SEC. Theses adaptations could increase both the efficiency of the energy storage-recoil process and muscular tension transmission leading to an increase in jump performances.

Sit-to-stand (STS) movement is useful for evaluating lower limb muscle function, especially from force platforms. Nevertheless, due to a lack of standardization of the STS movement (e.g., position, subject’s instructions, etc.), it is difficult to compare results obtained in previous studies. The aim of the present study was to determine the most relevant condition, parameters, and number of trial to perform STS movements. In this study, STS mechanical (maximal and mean force, impulse) and temporal parameters were measured in the vertical, medio-lateral and antero-posterior axes using a force platform. Five STS conditions (i.e., with or without armrests, variation of the height of the chair and the movement speed) were analyzed to evaluate repeatability of different standardized procedures. Most of the mechanical and temporal parameters were influenced by the STS condition (p

The alpha method enables the dissociation of the passive (i.e., tendinous tissues) and active (i.e., fascicles) part of muscle–tendon stiffness. It is based on two main assumptions (i.e., a constant tendon stiffness and a muscle stiffness proportional to the torque produced), which have not been approved in vivo. The purpose of this study was to validate these two assumptions using ultrafast ultrasound, and to compare fascicle and tendon stiffness as determined by both methods. Ten healthy males performed a fast-stretch experiment on the ankle plantar flexors. The mathematical model of the alpha method allowed to estimate the stiffness of muscle and tendinous tissues on the basis of the assumptions associated to the behaviors of muscle fascicles and tendinous tissues. Muscle and tendon stiffness of the gastrocnemius medialis were also calculated from ultrafast ultrasound measurements. Muscle stiffness measured by the ultrasound method increased from 217 ± 83 to 720 ± 265 N/mm with an increasing level of force (from 30 to 90 % MVC). Tendinous stiffness measured by the ultrasound method remained constant across the force level (P

International audience; Aims - Current-induced vasodilation (CIV) is an axon-reflex response observed during monopolar current application such as iontophoresis. Cyclo-oxygenase derivates (COD) participate in CIV and act as sensitizing agents at the anodal level. Mechanisms involved during cathodal current application (CCA) are partially unknown. In a randomized double-blind crossover trial, we tested in 16 healthy subjects (i) the influence of the inter-stimulation interval (I-I) by comparing CIV following all-at-once 10 s CCA against 2 × 5 s CCA with intervals ranging from15 s-16 min and (ii) the participation of COD in CIV using 1 g aspirin or placebo intake.Methods - Measurements were repeated 2 h and 14 days after treatment. Laser Doppler flowmetry assessed cutaneous blood flow, reported in multiples of baseline. Results - Before treatment, peak vasodilation 10 min after the last current application (CVCstim2 ) increased compared with baseline whatever the I-I. Increase in CVCstim2 from baseline was greater for the 4 min (9.4 (5.3, 10.9) times; median (1(st) percentile, 3(rd) percentile)) and higher I-Is compared with all-at-once delivery (3.0 (2.1, 4.3) times, P < 0.05). The response was similar after placebo but aspirin abolished this vasodilation (increase by 1.2 (1.1, 1.3) times for all-at-once delivery and by 1.5 (1.3, 1.7) ± 0.3 times for 4 min interval, 2 h after aspirin intake) that recovered after 14 days. Conclusions - This confirms the participation of COD in CIV with CCA and their sensitizing action. This model can represent an attractive way to study the axon-reflex and sensitizing function of COD in humans.

International audience

International audience; Durand, S, Ripamonti, M, Rahmani, A, and Beaune, B. Bioenergetical and cardiac adaptations of pilots to a 24-hour team kart race. J Strength Cond Res 29(11): 3234-3239, 2015-This study aimed to evaluate energy expenditure (EE) and heart rate (HR) response in kart pilots to successive driving bouts during a 24-hour team race. Eight adult male pilots (22.8 6 4.1 years) participated to a team 24-hour speedway kart race in Le Mans (France). They alternatively piloted a 390 cm 3 kart. Each relay was 45 minutes long and each pilot performed 4 relays. For each pilot, mean speeds were calculated from lap-to-lap duration recordings using a telemetric infrared timing device. Heart rate values were recorded continuously on 5-second intervals using a portable cardiometric device. Total energy expenditure (EET) and physical activity ratio (PAR) were determined by accelerometry. To pilot a kart during 45 minutes at a mean speed around 62 km$h 21 induces a 300-kcal EET, corresponding to a 5.6-Mets PAR. This effort is responsive for a 73 b$min 21 increase in HR, from 84.1 6 7.6 to 157.4 6 11.0 b$min 21 (82% maximal heart rate intensity). However, during this relay period, HR values seemed independent to mean speed performance and bioenergetical values. Thus, in the context of the 24-hour team race, the variability in effort made during each relay and relay succession did not alter bioener-getical adaptation of pilots to kart driving. The high EE and HR values would be better explained by both emotional stress and environmental constraints such as speedway configuration and vibrations. The way how these factors specifically influence bioenergetical demand, and their relative importance, has to be specified to optimize training procedure and recommendations .

CCC:000355836600018; International audience; Objective: In contrast to conventional (CONV) neuromuscular electrical stimulation (NMES), the use of "wide-pulse, high-frequencies" (WPHF) can generate higher forces than expected by the direct activation of motor axons alone. We aimed at investigating the occurrence, magnitude, variability and underlying neuromuscular mechanisms of these "Extra Forces" (EF). Methods: Electrically-evoked isometric plantar flexion force was recorded in 42 healthy subjects. Additionally, twitch potentiation, H-reflex and M-wave responses were assessed in 13 participants. CONV (25 Hz, 0.05 ms) and WPHF (100 Hz, 1 ms) NMES consisted of five stimulation trains (20 s on-90 s off). Results: K-means clustering analysis disclosed a responder rate of almost 60%. Within this group of responders, force significantly increased from 4% to 16% of the maximal voluntary contraction force and H-reflexes were depressed after WPHF NMES. In contrast, non-responders showed neither EF nor H-reflex depression. Twitch potentiation and resting EMG data were similar between groups. Interestingly, a large inter-and intrasubject variability of EF was observed. Conclusion: The responder percentage was overestimated in previous studies. Significance: This study proposes a novel methodological framework for unraveling the neurophysiological mechanisms involved in EF and provides further evidence for a central contribution to EF in responders. (C) 2014 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

The study examined the fatigue effect on tennis performance and upper limb muscle activity. Ten players were tested before and after a strenuous tennis exercise. Velocity and accuracy of serve and forehand drives, as well as corresponding surface electromyographic (EMG) activity of eight upper limb muscles were measured. EMG and force were also evaluated during isometric maximal voluntary contractions (IMVC). Significant decreases were observed after exercise in serve accuracy (-11.7%) and velocity (-4.5%), forehand accuracy (-25.6%) and consistency (-15.6%), as well as pectoralis major (PM) and flexor carpi radialis (FCR) IMVC strength (-13.0% and -8.2%, respectively). EMG amplitude decreased for PM and FCR in serve, forehand and IMVC, and for extensor carpi radialis in forehand. No modification was observed in EMG activation timing during strokes or in EMG frequency content during IMVC. Several hypotheses can be put forward to explain these results. First, muscle fatigue may induce a reduction in activation level of PM and forearm muscles, which could decrease performance. Second, conscious or subconscious strategies could lead to a redistribution of muscle activity to non-fatigued muscles in order to protect the organism and/or limit performance losses. Otherwise, the modifications of EMG activity could also illustrate the strategies adopted to manage the speed-accuracy trade-off in such a complex task.

International audience

The dual-task paradigm has previously been used to investigate the attentional demands associated with postural control. Previous studies have identified both the focus of attention and the difficulty of a postural task as potential factors influencing dual-task performance. The aim of this study was to examine how the instructed focus of attention influences dual-task performance during quiet standing tasks of various levels of difficulty. Thirteen young adults participated in two testing sessions consisting of standing as still as possible on a force platform in different postural conditions, while simultaneously performing a simple reaction time (RT) task. Postural task difficulty was manipulated by various combinations of three bases of support (feet together, tandem and single leg) and two visual conditions (eyes opened and closed). Participants were instructed to focus on either their balance or their RT performance, depending on the testing session. When comparing postural control with respect to session focus, anterior-posterior sway velocity decreased with the addition of the simple RT task when the focus was on balance, but only during the more difficult dual-task conditions. In contrast, sway area and medial-lateral sway velocity did not change between the two instructed focus sessions. Participants responded faster in all dual-task conditions when focusing on RT performance than on balance. The modified attention allocation index indicated that participants' ability to modulate their allocation of attentional resources to respond positively to instruction was more pronounced in the most challenging postural condition. The present findings could have important implications for the interpretation of dual-task performance in both clinical and research settings.

The aim of the present study was to investigate changes in joint angles and limb positions accompanying postural control impairments induced by fatigue of the ankle plantarflexor muscles and vision removal. Thirteen subjects performed unipedal standing tasks with and without vision before and after isometric fatigue of the plantarflexor muscles. Results indicated that to compensate for the negative effects of fatigue and vision removal on postural control, participants increased flexion at the ankle, knee and back while the free lower limb and the pelvis moved backward and the upper limbs forward. These strategies could be performed to increase the role of non-fatigued muscles and optimize the use of all the joints implicated in unipedal standing.

The purpose of this study was to investigate the changes in postural control and in posture induced by ankle plantarflexor fatigue during a unipedal stance task. We also studied the postural strategies in the antero-posterior and medio-lateral planes used by participants to maintain balance. Thirteen young adults were asked to stand barefoot on their preferred leg as still as possible for 30s with vision or without vision. Participants performed postural trials before and after a fatigue protocol that consisted of standing on toes until exhaustion. Centre of pressure (COP) displacements were measured with a force platform and electrogoniometers were placed at the ankle, knee and hip joints of the support leg to monitor articular angles. Relationships between changes in articular angles and displacements of the COP in the antero-posterior and medio-lateral planes were tested using cross-correlations. Sway area and velocity increased with fatigue, but only without vision. A posterior shift of the mean COP position was also observed after fatigue. Ankle and hip joints were more flexed after fatigue. Moderate to good relationships between COP displacements and ankle angles were observed before and after fatigue in both planes whereas these relationships were low for hip and knee joints. Ankle plantarflexors fatigue induced impairment in postural control and changes in posture. To compensate for the effects of fatigue, participants increased the flexion of the ankle and/or the hip joints but conserved the ankle strategy as the dominant postural strategy in both planes.

Cardiovascular diseases are often revealed during exercise and are associated with cutaneous blood flow (CBF) dysfunction. Studies of CBF during exercise are consequently of interest. Laser speckle contrast imaging (LSCI) allows for non-contact and real-time recording of CBF at rest. We tested whether LSCI could allow the study of CBF during a cycling exercise using a specific signal treatment procedure that removes movement-induced arte- facts from the LSCI raw signal. We recorded the baseline CBF and peak post-occlusive reactive hyperaemia (PORH) from the cutaneous forearm using LSCI and the mean blood pressure before and during cycling (80 Wat 70 rpm) in nine healthy subjects. We determined the cross-correlation coef- ficient r between LSCI traces obtained before and during cycling and before and after a specifically designed signal processing technique. The results are presented as the me- dian (25th-75th centile) and expressed as the cutaneous vascular conductance (laser speckle perfusion units (LSPU) per millimetre of mercury). Cross-correlation r in- creased from 0.226±0.140 before to 0.683±0.170 after post-processing. After signal processing, the peak PORH during exercise was reduced (0.38 (0.30-0.52) LSPU/mmHg) compared with the peak PORH during the non-exercise phase (0.69 (0.63-0.74) LSPU/mmHg, p

The purpose of this study was to investigate the influence of fatiguing exercise intensity on the nature and extent of fatigue-induced changes in neuromuscular function and postural stability in quiet standing. We also explored the contribution of selected neuromuscular mechanisms involved in force production to postural stability impairment observed following fatigue using an approach based on multivariate regressions. Eighteen young subjects performed 30-s postural trials on one leg with their eyes closed. Postural trials were performed before and after fatiguing exercises of different intensities: 25, 50 and 75% of maximal isometric plantarflexor torque. Fatiguing exercises consisted of sustaining a plantarflexor isometric contraction at the target intensity until task failure. Maximal isometric plantarflexor torque, electromyographic activity of plantarflexor and dorsiflexor muscles, activation level (twitch interpolation technique) and twitch contractile properties of plantarflexors were used to characterize neuromuscular function. The 25% exercise was associated with greater central fatigue whereas the 50 and 75% exercises involved mostly peripheral fatigue. However, all fatiguing exercises induced similar alterations in postural stability, which was unexpected considering previous literature. Stepwise multiple regression analyses showed that fatigue-related changes in selected parameters related to neuromuscular function could explain more than half (0.51≤R(2)≤0.82) of the changes in postural variables for the 25% exercise. On the other hand, regression models were less predictive (0.17≤R(2)≤0.73) for the 50 and 75% exercises. This study suggests that fatiguing exercise intensity does not influence the extent of postural stability impairment, but does influence the type of fatigue induced and the neuromuscular function predictors explaining changes in postural variables.

International audience; PURPOSE: To evaluate spring-mass (SM) behavior and associated electromyographic (EMG) activity during a run to exhaustion following a cycle exercise in trained triathletes. METHODS: Ten triathletes completed four tests: a cycling test to determine V˙O(2max); a running test to determine the lactate threshold (LT); a 5 min control run at LT (C-Run) followed after a total recovery period by a cycle-to-run session to exhaustion [30 min of cycling at ∼80% V˙O(2max) followed by a run until exhaustion at LT (T-Run)]. SM behavior and EMG signals in nine lower limb muscles were recorded throughout the running sessions. RESULTS: Immediately after cycling, leg stiffness was 12.1% higher than its C-Run value and a concomitant increase of EMG activity of knee extensors was observed during pre-contact. Throughout T-Run, leg stiffness decreased by 7.3%, while knee extensors and ankle flexors activities decreased during pre-contact and braking phases. No significant variations in SM parameters and no significant increase of muscle activity were reported between C-Run and the end of T-Run. CONCLUSION: SM behavior during the cycle-run test was consistent with EMG activity changes. Cessation of exercise was not associated with significant alterations of stiffness values and EMG activity.

Chronic low back pain (CLBP) is characterised by an imbalance in trunk flexor and extensor muscles inducing a significant functional impairment. This can lead to a complex rehabilitation support an...

The authors aimed to assess the effect of vision on variations in attentional resources allocated to postural control during tasks of various levels of difficulty. Test-retest reliability of postural and cognitive parameters was also evaluated. Twenty adults stood quietly on a force platform during 30-s trials (primary task). Twelve conditions involving combinations of three bases of support, two vision conditions, and the presence or absence of a simple reaction time task (secondary task) were tested. Baseline trials of the reaction time task were also performed with the participants seated. Reaction time and postural parameters demonstrated good to excellent test-retest reliability in most conditions. Postural control was altered by the reduction of the base of support and by the absence of vision. Maintaining an upright stance increased reaction time compared with a seated position, indicating that quiet standing tasks required some attention even in young adults. Changes in postural steadiness were correlated with changes in reaction time, showing a significant relationship between the difficulty of the postural task and the attentional resources allocated to postural control. However, reaction time increased with the reduction of the base of support only without vision. This dual task paradigm showed that vision can compensate for the increase in attentional demands during the most difficult postural tasks.

2. Methods In this study, 10 male volunteers (age: 38 ^ 5 years, height: 180 ^ 6cm, weight: 74 ^ 10kg) without previous history of low back pain participated. Each participant carried out three consecutive isokinetic lifting‐lowering cycles at five linear velocities: 0.26, 0.39, 0.52, 0.65 and 0.79ms 21 (Lift Simulation, Biodex System 4 Pro, New York, USA). The lifting was carried out as fast and strongaspossiblebetweenastandardisedstarting(thearms extended with the shoulders above the bar positioned just below the patella) and final (standup with the arms extended) position, while the lowering was passive. Except for the starting andfinal positions, no instruction was given to the subjects relating to the lifting technique. Surface myoelectric activity was continuously recorded (sampling rate: 2000Hz, Delsys Myomonitor IV, Boston, MA, USA) on 14 muscles (TB,triceps brachii; DS, deltoideus pars spinalis; TZ, trapezius pars descendens; ES, erector spinae at T3, T12 and L4 level; LD, latissimus dorsi ;G max, gluteus ;S T,semitendinosus ;B F, biceps femoris ;R F,rectus femoris; VL, vastus lateralis; GL, gastrocnemius lateralis and TA, tibialis anterior) during the lifting – lowering cycles. All EMG data were band-pass filtered (20 –400 Hz), rectified and low-pass filtered at 5 Hz. The two last lifting –lowering cycles were time normalised (2 100% to 100%, with 0 as the final position).

Plyometric training is commonly used to improve athletic performance; however, it is unclear how each component of the muscle-tendon complex (MTC) is affected by this intervention. The effects of 14 weeks of plyometric training on the passive stiffness of the gastrocnemii muscles and Achilles tendon was determined simultaneously to assess possible local adaptations of elastic properties. The passive force-length relationship of the gastrocnemii MTC and elongation of the gastrocnemii muscles were determined using ultrasonography during passive cyclic stretching in 19 subjects divided into trained (n = 9) and control (n = 10) groups. An upward trend in stiffness of the gastrocnemii MTC (P = 0.09) and a significant increase in the intrinsic gastrocnemii muscle stiffness were found (P 0.05). In contrast, no significant change in gastrocnemii tendon stiffness, or in muscle and tendon geometry, was determined (P 0.05). Considering the lack of change in gastrocnemii muscle geometry, the change in the gastrocnemii muscle stiffness may be mainly due to a change in the intrinsic mechanical properties of the muscular tissues.

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Background Fatiguing exercises used across studies to induce alterations in postural control are diverse and may explain the different findings reported. This study aimed to compare the effects of two types of fatiguing plantarflexion exercises on postural control on a firm and a compliant surface. Ten healthy young men (29 ± 4 years) were asked to stand as steadily as possible for 30 s, blindfolded with feet together, on a firm and a compliant surface before and immediately after an isometric and an isokinetic fatiguing exercise. Results Maximal force reduction due to fatigue was found significant but similar between exercises. No significant difference was found between the fatiguing exercises on all Center of Pressure (CoP) parameters. Both fatiguing exercises induced increases in CoP excursion area, CoP variability and CoP velocity in both planes (antero-posterior, mediolateral) on the compliant surface. On the firm surface, both fatiguing exercises only induced increases in CoP variability and CoP velocity in the fatigued plane (antero-posterior). Conclusions Isometric and isokinetic fatiguing exercises, when producing a similar level of force reduction, induce similar decreases in postural control. The effects of fatigue on postural control in healthy young men are more pronounced when standing on a compliant surface, i.e. when proprioceptive information at the ankle is altered.

The assessment of Achilles tendon mechanical properties in vivo has received much attention in the literature. Many studies investigated mechanical properties by assessing tendon stiffness. Despite tendon dissipative properties being representative of a storage-recoil process, its determination has received minimal attention in the literature. The aim of this study was to determine if Achilles tendon stiffness is associated with dissipative properties. The cross-sectional area, stiffness and dissipation coefficient of the Achilles tendon were measured in 35 subjects. No significant correlation was found between stiffness and the dissipation coefficient, irrespective of stiffness normalization with cross-sectional area (P > 0.05). Thus, it appears that both stiffness and dissipative properties must be assessed to determine the storage-recoil process capacities of the Achilles tendon in order to precisely characterize changes in the tendon mechanical properties after chronic interventions or rehabilitation programs.

The purpose of endurance time (T lim) prediction is to determine the exertion time of a muscle contraction before it occurs. T lim prediction would then allow the evaluation of muscle capacities limiting fatigue and deleterious effects associated with exhaustive exercises. The present study aimed to analyze the influence of exercise intensity and joint angle on T lim prediction using changes in surface electromyographic (sEMG) signals recorded during the first moments of the exercise. Fifteen male performed four knee extensions sustained until exhaustion that were different in exercise intensity (20% or 50% of maximal voluntary torque-MVT) and in joint angle (40 or 70o, 0° = full extension). T lim prediction was explored using some parameters of the sEMG signals from rectus femoris, vastus medialis and vastus lateralis muscles. Changes in sEMG parameters (root mean square, mean power frequency and frequency banding 6–30 Hz) were expressed using the slope of the linear regression and the area ratio index. Results indicated that relationships between changes in sEMG signal and T lim (0.51

Torque-velocity and power-velocity relationships, which determine the different indicators of muscle function, have some practical application during rehabilitation program. These relationships for trunk flexor and extensor muscles d uring isokinetic conditions have yet to be studied in chronic lower back pain patients in order to demonstrate that maximal power could be used as a quantitative factor for this population. Ten hea lthy male subjects and eleven chronic lower back pain male patients performed series of isokinetic trunk flexions and extension s at six different velocities, ranging from 45 � /s to 120 � /s, on a Biodex dynamometer. The torque-velocity and power-velocity relationships of trunk muscles were described by linear (P < 0.01; r = 0.9-0.99) and parabolic (P < 0.05; r = 0.9-0.99) relationships, respectively. Maximal power was the only parameter which showed a significant difference ( P < 0.01) between the two populations for both flexor and extenso r muscles. It was concluded that the lower back pain did not influence the shape of trunk mu scles' torque- and power-velocity relationships. The diff erent maximal power observed between the two groups suggests that rehabilitation program should focus on strength training f or the extensor muscles whereas the flexor group would follow veloc ity exercise session.

This study analysed the muscle activity levels and patterns of the major thigh muscle activa- tion during training sections at diff erent inten- sities of on-water rowing. 9 experienced rowers performed 2 imposed-pace sections (B1 and B2) and 2 maximal-speed sections (start, 500 m) of on-water rowing. The knee angle, power output, mean torque and stroke rate were measured using specifi c instrumentation and were synchro- nised with surface electromyography signals of 5 superfi cial quadriceps and hamstring muscles. B1 and B2 sections were not signifi cantly diff er- ent regarding mechanical parameters and EMG activities, while the start phase induced large dif- ferences. The EMG patterns for B1, B2 were simi- lar (cross-correlation coeffi cients (CC) ranged between 0.972 - 0.984) and the moderate CC found between both B1 and start (0.605 - 0.720) and B2 and start (0.629 - 0.720). Our results sug- gest that the hamstring muscles have a motor action and contribute to the power production during the leg drive. During an all-out 500 m section, a decrease in power and stroke rate was found (up to 20 % ). However, EMG patterns were not time shifted for all muscles. During the leg drive, the muscle activity levels of the quadriceps muscles were unchanged, while the activity of the hamstring muscles decreased.

The aim of the present study was to test the hypothesis that performance in throwing events is associated with muscular characteristics of both upper and lower limbs. Thirty-eight male throwers volunteered to participate. Bench press and half squat tests were conducted on a guided barbell. The barbell displacement signal was recorded using a kinematic system. Maximal power, corresponding optimal velocity and force (P max S, V opt S, F opt S and P max BP, V opt BP, F opt BP for half squat and bench press, respectively) were extrapolated from the power-velocity relationship. Lower limb stiff ness (K) was determined during maximal hopping. The results demonstrated that P max S and P max BP were correlated with each thrower ' s season ' s best performance (SBP, r = 0.54, p < 0.01 and r = 0.71, p < 0.001, respectively). P max S expressed relative to body mass was not correlated with SBP. K was signifi cantly correlated with SBP ( r = 0.66, p < 0.001). The relationship between P max BP expressed relative to body mass and SBP remained signifi cant ( r = 0.54, p < 0.001). The results of the study suggest that high strength and stiff ness values for lower limbs and strength and velocity characteristics for upper limbs may be associated with athletic throwing performance.

The aim of this study was to determine the effects of 14 wk of plyometric training on mechanical properties of the Achilles tendon. Nineteen subjects were randomly assigned to trained or control group. Cross-sectional area (CSA), stiffness, and dissipation coefficient of the Achilles tendon were measured before and after the training period. In the trained group, a decrease in dissipation coefficient (−35.0%; P < 0.05) and an upward trend in stiffness (+24.1%) of the Achilles tendon was found, without any changes in Achilles tendon CSA ( P > 0.05). Plyometric training enhances the muscular tension transmission mainly through a reduction in energy dissipated by the tendon. The lack of changes in the Achilles tendon CSA indicates that changes in mechanical properties would mainly result from a qualitative change in tendinous tissues rather than from changes in the geometry of the Achilles tendon.

The aim of this study was to investigate the reliability of an in vivo adaptation of the short range stiffness experiment associated with the application of a mathematical model to determine the stiffness of both torque dependent and independent components of the plantarflexors series elastic component. Fourteen subjects participated in this study. The experimental protocol consisted of quickly moving the ankle joint in dorsiflexion during constant voluntary isometric plantarflexion at 7 submaximal torque levels. Relationships between joint stiffness and torque were established and the stiffness of both torque dependent and independent components were determined using the alpha method. The day-to-day reliability was assessed for joint stiffness and stiffness of both torque dependent and independent components (ICC higher than 0.88 and CVs lower than 6.0%). This method could then be used to better understand adaptive subjacent mechanisms to assess the effects of training protocols, and the rehabilitation of neuromuscular pathologies or traumatisms.

This study aimed to determine simultaneously the effects of plyometric training on the passive stiffness of the ankle joint musculo-articular complex, the gastrocnemii muscle– tendon complex (MTC) and the Achilles tendon in order to assess possible local adaptations of elastic properties. Seventeen subjects were divided into a trained (TG) group and a control (CG) group. They were tested before and after 8 weeks of a plyometric training period. The ankle joint range of motion (RoM), the global musculo-articular passive stiffness of the ankle joint, the maximal passive stiffness of gastrocnemii and the stiffness of the Achilles tendon during isometric plantar flexion were determined. A significant increase in the jump performances of TG relative to CG was found (squat jumps: 117.6%, P 5 0.008; reactive jumps: 119.8%, P 5 0.001). No significant effect of plyometric training was observed in the ankle joint RoM, musculo-articular passive stiffness of the ankle joint or Achilles tendon stiffness (P40.05). In contrast, the maximal passive stiffness of gastrocnemii of TG increased after plyometric training relative to CG (133.3%, P 5 0.001). Thus, a specific adaptation of the gastrocnemii MTC occurred after plyometric training, without affecting the global passive musculo-articular stiffness of the ankle joint. In natural locomotion, the stretch-shortening cycle is a typical solicitation of the human muscle–tendon complex (MTC). The MTC stores potential elastic energy during the eccentric phase and restores a part

International audience; The objective of this study was to design and validate a three degrees of freedom model in the sagittal plane for the bench press exercise. The mechanical model was based on rigid segments connected by revolute and prismatic pairs, which enabled a kinematic approach and global force estimation. The method requires only three simple measurements: (i) horizontal position of the hand (x0); (ii) vertical displacement of the barbell (Z) and (iii) elbow angle (θ). Eight adult male throwers performed maximal concentric bench press exercises against different masses. The kinematic results showed that the vertical displacement of each segment and the global centre of mass followed the vertical displacement of the lifted mass. Consequently, the vertical velocity and acceleration of the combined centre of mass and the lifted mass were identical. Finally, for each lifted mass, there were no practical differences between forces calculated from the bench press model and those simultaneously measured with a force platform. The error was lower than 2.5%. The validity of the mechanical method was also highlighted by a standard error of the estimate (SEE) ranging from 2.0 to 6.6 N in absolute terms, a coefficient of variation (CV) less-than-or-equals, slant0.8%, and a correlation between the two scores greater-or-equal, slanted0.99 for all the lifts (p

While the passive mechanical properties of a musculo-articular complex can be determined using the relationship between the articular angle and the passive torque developed in resistance to motion, the properties of different structures of the musculo-articular complex cannot be easily assessed. Recently, an elegant method has been proposed to estimate the passive length–tension properties of gastrocnemius muscle–tendon unit ( Hoang et al., 2005 ). In the present paper, two improvements of this method are proposed to decrease the number of parameters required to assess the passive length–tension relationship from 9 to 2. Furthermore, these two parameters have physical meaning as they represent a passive muscle–tendon stiffness index ( α ) and the muscle–tendon slack length ( l 0 ). α and l 0 are relevant clinical parameters to study the chronic effects of aging, training protocols or neuromuscular pathologies on the passive mechanical properties of the muscle–tendon unit. Eight healthy subjects performed passive loading/unloading cycles at 5°/s with knee angle at 6 knee angles to assess the torque–angle relationships and to apply the modified method. Numerical optimization was used to minimize the squared error between the experimental and the modeled relationships. The experiment was performed twice to assess the reliability of α and l 0 across days. The results showed that the reliability of the two parameters was good ( α : ICC=0.82, SEM=6.1 m −1 , CV=6.3% and l 0 : ICC=0.83, SEM=0.29 cm, CV=0.9%). Using a sensitivity analysis, it was shown that the numerical solution was unique. Overall, the findings may provide increased interest in the method proposed by Hoang et al. (2005) .